Orchitis

Disease	Injury	Nutrition	Poison

Special Topic	Surgery	Symptoms	Test

Male reproductive anatomy

Male reproductive system

Orchitis

Alternative Names:

Epididymo-orchitis; Testis infection

Symptoms:

Scrotal swelling
Tender, swollen, "heavy feeling" in the testicle on affected side
Tender, swollen groin area on affected side
Fever
Discharge from penis
Pain with urination (dysuria)
Pain with intercourse or ejaculation
Groin pain
Testicle pain, may be aggravated by bowel movement or straining
Blood in the semen

Signs and tests:

Physical examination may reveal tender and enlarged lymph nodes in the groin area (inguinal) on the affected side. It may also show a tender and enlarged testicle on the affected side. A rectal examination may reveal an enlarged or tender prostate gland.

Testing may include:

A urinalysis
Urine culture (clean catch) (Note: the provider may request several specimens, including initial stream, mid-stream, and after prostate massage.)
Tests to screen for Chlamydia and gonorrhea (urethral smear)
A CBC
Doppler ultrasound (to rule out testicular torsion). It also can confirm the diagnosis of orchitis by demonstrating increased blood flow to the region as well as characteristic finding of hypoechogeneic texture. This study can also detect scrotal abcesses.
Testicular scan (Nuclear medicine scan) may also be obtained. This will also rule out torsion and can confirm the diagnosis of orchitis with increased blood flow.

Review Date: 7/31/2002
Reviewed By: Young Kang, M.D., Department of Urology, Columbia University College of Physicians and Surgeons, New York, NY. Review provided by VeriMed Healthcare Network.

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